MI TU QUAN

CORONA, NY
NPI1396164869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  287566-1)
Enumeration Date2014-04-14
Last Update Date2018-07-02
Business Address
MI TU QUAN D.O.
5828 99TH ST
CORONA, NY 11368
Phone number: 718-502-9867
Mailing Address
MI TU QUAN D.O.
2709 DITMARS BLVD
ASTORIA, NY 11105-2703
Phone number: 646-318-1635